OrganizationActive
Impact Counseling Services, LLC
NPI 1346419082 · Mental Health Clinic/Center (Including Community Mental Health Center) · Hayward, WI
Provider details
- NPI number
- 1346419082
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renee Millwood, Director(715) 634-0607
- License
- 42213900 (WI)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 42213900 (WI)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15655 County Road B
Hayward, WI 54843-3251
Phone: (715) 634-0607
Fax: (715) 634-0617
Street-level locationGet directions
Mailing address
15655 County Hwy B
Hayward, WI 54843
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2008-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.